The invention relates to an ultrasound transducer array having a plurality of transducer elements.
U.S. Pat. No. 3,780,725 discloses a fetal heartbeat monitoring system in which a plurality of ultrasonic beams are transmitted at different angles into the uterus of an expectant mother. A plurality of receiving transducers are inclined at different angles for receiving the signal as it is reflected from the fetus and/or uterus walls, the frequency of the reflected signal differing from that of the transmitted signal by an amount corresponding to the rate of the fetal heart motion. A system of rate computation from the resultant Doppler fetal heart motion signal is employed which utilizes frequency domain techniques. The heart rate signal is extracted from the Doppler heart motion signal by means of a diode demodulator and low frequency bandpass filter.
US 2018/130457 discloses an ultrasound array comprising a plurality of ultrasound transducer elements on a carrier, said carrier further carrying an actuator arrangement of a material having an adjustable shape in response to an electromagnetic stimulus, e.g. an electro active polymer or optically responsive polymer.
US 2003/135135 discloses an ultrasonic irradiation apparatus is presented which is capable of easily irradiating, with ultrasonic waves, a wide area (range) of an object having three-dimensionally curved surfaces.
It is, inter alia, an object of the invention to provide an improved ultrasound transducer array. The invention is defined by the independent claims. Advantageous embodiments are defined in the dependent claims.
An aspect of the invention provides an ultrasound transducer array having a plurality of transducer elements each having a respective field of view, the ultrasound transducer array being capable of being positioned around an object having a curved surface resulting in a convergence of the respective fields of view of the transducer elements, wherein the transducer elements are arranged, or capable of being arranged, on the ultrasound transducer array in a manner opposite to a curvature of the curved surface so as to counteract the convergence of the respective fields of view. Here, the notion “around” does not necessarily mean “all around”; what is meant is that the transducer array is positioned along the curved surface of the object, e.g. on top of the belly of a pregnant woman, so that the transducer elements point to the inside of the belly for fetal monitoring purposes.
The invention is based on the recognition that in a prior art arrangement, due to the curvature of the maternal abdomen, all individual ultrasound transducer elements are directed into the same region of the maternal abdomen, as the ultrasound wave propagation is only perpendicular to the skin surface. This limits the overall field of view (FOV) of the employed ultrasound transducer array. Also, the ultrasound beams of multiple transducer elements may overlap to a large extent, which might lead to high level of acoustic dose (safety risk). In embodiments of this invention, the transducer elements are embedded into the ultrasound transducer array under a specific tilting angle to compensate for the curvature of the maternal abdomen and creating a large overall FOV. Herein, a full and perfect compensation is not needed, and the notion “counteract” should be understood accordingly; an under-compensation or over-compensation is allowed as it suffices if the respective tilting angles under which the various transducer elements are positioned in the transducer array are such that they reduce the net angles resulting from positioning the transducer array on the curved surface of the object. The notions “opposite angles” and “manner opposite to a curvature of the curved surface” should thus also not be understood as (resulting in) angles having exactly the same absolute values.
These and other aspects of the invention will be apparent from and elucidated with reference to the embodiments described hereinafter.
Monitoring the fetal heart rate before and during labor is a standard method to assess the fetal well-being. The most common technology to measure the fetal heart rate is based on Doppler ultrasound. For robust monitoring of the fetal heart rate it is required that the fetal heart is located in the overall field of view FOV of the employed ultrasound transducer. In clinical practice, the fetus moves and, consequently, the fetal heart moves out of the ultrasound beam, leading to long and frequent periods of signal loss. A flexible multi-element ultrasound transducer array T can be wrapped around the maternal abdomen and has the potential to monitor the fetal heart rate continuously for various fetal heart locations, and the possibility of monitoring twins or triplets. A drawback of the flexible ultrasound transducer array T as shown in
In embodiments of the present invention, multiple ultrasound transducer elements TE, such as piezoelectric transducer elements (PZTs), are thus embedded in a flexible ultrasound transducer array T. The flexible substrate of the ultrasound transducer array T may be made out of silicone such as Polydimethylsiloxan (PDMS), or any other material which can be made flexible and has suitable acoustic properties. PDMS is a silicone which is flexible and has similar acoustic properties as human tissue and, therefore is used in many biomedical ultrasound applications. To prevent the transducer elements TE from all pointing into the same direction when positioned on the maternal abdomen, the transducer elements TE are embedded into the ultrasound transducer array T with a specific tilting angle θ=[θe θa], with θe and θa being the elevation and azimuth angle, respectively. Tilting the transducer elements TE within the two-dimensional ultrasound transducer array T with an elevation and azimuth angle (see
The tilting angle θ should be chosen such that it compensates for the curvature of the maternal abdomen. The curvature of a maternal abdomen depends on the gestational age as well as maternal body mass index (BMI). The maternal abdomen may be considered as a half sphere with radius r, i.e. curvature of κ=1/r. The curvature κ determines the tilting angle θ. For the average maternal abdomen at term, the radius of the sphere lies in the range of r=25 cm-40 cm. It should be noted, that it is not essential to tilt the transducer elements TE exactly corresponding to the curvature of the abdomen. Pre-tilting the transducer elements TE will always compensate to some extent for the average curvature of the maternal abdomen and, therefore, always increase/improve the FOV of the ultrasound transducer array T.
In another embodiment, instead of having a one-fit-all solution, different versions of the ultrasound transducer array T can be produced to fit e.g. a small, medium, or a large abdomen. In real-life, the curvature of the abdomen can be determined, e.g. manually by the caregiver or the mother-to-be, or automatically by e.g. camera technology. The best fitting flexible ultrasound transducer array T with the corresponding pre-tilted transducer elements TE for best overall FOV can be selected. In this embodiment, the user would thus be provided with a set of ultrasound transducer arrays T, the set comprising:
a first ultrasound transducer array T having first transducer elements TE arranged in the first ultrasound transducer array T under first respective tilting angles; and
a second ultrasound transducer array T having second transducer elements TE arranged in the second ultrasound transducer array T under second respective tilting angles, each of the second respective tilting angles exceeding a corresponding one of the first respective tilting angles.
In yet another embodiment, the tilting angle θ (in both azimuth and elevation) can be adjusted while the ultrasound transducer array T is positioned on the belly of the pregnant women. This can be implemented by means of a liquid or an ultrasound gel with floating transducer elements T moved by one or more actuators, which may be controlled using e.g. accelerometers, camera, fiber-optic curvature sensors. The position of the floating transducer elements could be fixed if they float in e.g. a sodium acetate liquid that becomes solid when a crystallization nucleus is offered by an actuator (e.g. mechanical, as in ClickHeat heating pads, but alternative actuators like light or temperature are conceivable). In addition, the tilting angle θ can be adjusted continuously over time, to compensate for breathing motion. In such embodiments, the user would thus be provided with an ultrasound transducer array T, wherein respective orientations of the transducer elements TE can be adjusted, and preferably with an ultrasound transducer array T, wherein the transducer elements TE are arranged in a medium that can be made to change its state from liquid to solid, thereby fixing the respective orientations.
A further advantage of using pre-tilted transducer elements TE, is that the respective ultrasound beams do not overlap. This reduces the occurrence of destructive and/or constructive interference and/or the accumulation of multiple ultrasound beams in time. Further, having multiple transducer elements TE aiming at the same location does not necessarily improve the estimation of fetal heart rate. Pre-tilting the transducer elements TE enables coverage of a large measurement volume with a reduced number of transducer elements TE, eventually reducing the costs of the system.
In another embodiment of the invention, the ultrasound transducer array T with pre-tilted transducer elements TE allows to generate a FOV large enough to insonify the whole fetus, allowing to monitor fetal movements, such as fetal limb movement.
Advantageously, the transducer elements TE are capacitive micro-manufactured ultrasound transducer (CMUT).
The transducer array 110 may be adapted to conform to a subject's body 140 in a number of ways. For example, the plurality of transducer elements 130 may be embedded into a flexible silicone layer.
In other words, the transducer array 110 may be adapted to conform to the body 140 of a subject to ensure that the transducer elements have good contact with the body surface. Further, the material layer positioned underneath the transducer elements 130, between the transducer elements 130 and the subject, may be selected to have an appropriate acoustic impedance suitable for ultrasound propagation. The transducer array 110 may be made out of any suitable material, for example, by integrating the transducer elements 130 into a fabric or a belt, which could be wrapped around the subject's body.
In addition, the flexible array does not need to be fully closed. For example, the individual elements could be interconnected by any flexible connector piece, which defines the approximate position of the elements with respect to each other.
Alternatively, the individual transducer elements 130 can be attached directly on the skin of the subject in a similar manner to electrocardiogram (ECG) measurement electrodes directly attaching to the skin.
Further, a transducer element 130 may be formed by a transducer sub-array of seven elements placed on a rigid plate, which may then be positioned on the skin. In this manner. multiple of these sub-arrays may be used to cover a large area while also following the curvature of the measurement subject.
In the example shown in
The ultrasound transducer array 110 may further comprise a sensor 160, in which case the processor 120 is adapted to determine a curvature of the ultrasound transducer array 110 based on an output of the sensor 160. The sensor 160 may comprise one or more of: a strain gauge; an accelerometer; a piezoelectric sensor; and a camera. For example, a camera may be used to determine the curvature of the array and, in addition, also the position of the array on the maternal abdomen.
The processor 120 is adapted to receive and process the ultrasound echo signals acquired by the ultrasound transducer array 110.
The present invention, wherein the transducer elements (TE) are arranged, or capable of being arranged, on the ultrasound transducer array (T) in a manner opposite to a curvature of the curved surface (S) so as to counteract the convergence of the respective fields of view, is advantageously used to modify the system of our earlier application PCT/EP2019/060648 (our reference 2018P00415WO), incorporated herein by reference.
It should be noted that the above-mentioned embodiments illustrate rather than limit the invention, and that those skilled in the art will be able to design many alternative embodiments without departing from the scope of the appended claims. In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The word “comprising” does not exclude the presence of elements or steps other than those listed in a claim. The word “a” or “an” preceding an element does not exclude the presence of a plurality of such elements. In the device claim enumerating several means, several of these means may be embodied by one and the same item of hardware. Measures recited in mutually different dependent claims may advantageously be used in combination.
Number | Date | Country | Kind |
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19207080.3 | Nov 2019 | EP | regional |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2020/080113 | 10/27/2020 | WO |